Individual
MRS. CATHERINE FONTENOT SAMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7784 INNOVATION PARK DR., BATON ROUGE, LA 70820-7006
(225) 343-4232
(225) 343-4233
Mailing address
7784 INNOVATION PARK DR., BATON ROUGE, LA 70820-7006
(225) 343-4232
(225) 343-4233
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6908
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2374516
—
LA
Enumeration date
07/11/2013
Last updated
03/04/2016
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